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MKSAP Quiz: Lower extremity edema and fatigue

A 29-year-old man is hospitalized for lower extremity edema and fatigue that has progressed over the past 6 months. Laboratory studies document kidney failure. Following a physical exam, additional lab studies, and kidney biopsy, results of which tests will most likely explain this patient's findings?
https://immattersacp.org/weekly/archives/2021/05/25/3.htm
25 May 2021

MKSAP Quiz: 2-year history of migraine

A 20-year-old man is evaluated for a 2-year history of migraine that began when he started college. Migraine episodes occur 6 to 12 days per month, with more frequent episodes associated with increased stress from difficult assignments or final examinations. All physical examination findings, including vital signs, are unremarkable. What is the most appropriate preventive measure?
https://immattersacp.org/weekly/archives/2024/03/12/3.htm
12 Mar 2024

MKSAP Quiz: Chronic intermittent nonbloody diarrhea

A 25-year-old woman is evaluated for chronic intermittent nonbloody diarrhea with associated abdominal cramping, burping, and bloating. Symptoms began several months ago. Following a physical exam and stool testing, what is the most likely cause of this patient's diarrheal illness?
https://immattersacp.org/weekly/archives/2021/05/18/3.htm
18 May 2021

MKSAP Quiz: INR management

A 61-year-old woman undergoes routine evaluation. She reports no recent changes in her medications. She has a history of idiopathic deep venous thrombosis. Her only medication is warfarin, initiated 2 months ago. Following a physical exam and international normalized ratio (INR) measurement of 7.2, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2020/07/28/3.htm
28 Jul 2020

MKSAP Quiz: Persistent dyspepsia despite treatment

A 65-year-old man is evaluated for persistent dyspepsia despite treatment with antacid therapy. He also has recent weight loss of 3 kg (6.6 lb) and development of epigastric abdominal pain. Following a physical exam, biopsy, and CT scan, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2021/05/11/3.htm
11 May 2021

MKSAP Quiz: 3-day history of headaches, low-grade fever

A 17-year-old woman is evaluated in the emergency department in September for a 3-day history of headaches, low-grade fever, sore throat, cough, and stiff neck. She is otherwise well and takes no medications. Following a physical exam and other tests, what is the most likely cause of this patient's findings?
https://immattersacp.org/archives/2023/11/mksap-quiz-3-day-history-of-headaches-low-grade-fever.htm
1 Nov 2023

MKSAP Quiz: Follow-up of abdominal, pelvic CT scan

A 38-year-old woman is seen in follow-up to discuss the findings of an abdominal and pelvic CT scan done to evaluate renal colic, which has since resolved. The abdominal CT scan showed two small nonobstructing renal calculi in the right kidney and a 1.6-cm left adrenal mass. Following a physical exam and lab studies, what is the most appropriate test to perform next?
https://immattersacp.org/weekly/archives/2021/04/06/3.htm
6 Apr 2021

MKSAP Quiz: Managing a congenital heart defect in an adult

A 24-year-old woman diagnosed with a ventricular septal defect at age 7 months undergoes routine examination. The S1 and S2 are masked by a loud holosystolic murmur noted at the left lower sternal border. A transthoracic echocardiogram demonstrates a membranous ventricular septal defect with a small left-to-right shunt. After review of additional results from cardiac testing, what is the appropriate management?
https://immattersacp.org/weekly/archives/2020/11/24/3.htm
24 Nov 2020

MKSAP Quiz: 3-day history of left knee pain, swelling

A 43-year-old woman is evaluated for a 3-day history of left knee pain and swelling. Similar episodes have occurred in either knee as well as the left wrist during the past 2 years. Following a physical exam, radiographs, and joint aspiration of the left knee, what laboratory study will most likely identify the cause of this patient's symptoms?
https://immattersacp.org/weekly/archives/2021/03/16/3.htm
16 Mar 2021

MKSAP Quiz: Follow-up visit for a kidney transplant

A 40-year-old man is evaluated during a follow-up visit for a kidney transplant he received 2 years ago. History is also significant for hypertension. Medications are tacrolimus, mycophenolate mofetil, prednisone, and nifedipine. Which treatment should be added?
https://immattersacp.org/weekly/archives/2021/02/23/4.htm
23 Feb 2021

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